在实践中实施HPV疫苗接种指南的临床医生观点
Erika L Thompson1,2, Idara N Akpan2, Tanjila Taskin2
1Department of Quantitative and Qualitative Health Sciences, University of Texas School of Public Health San Antonio, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Behavioral medicine (Washington, D.C.)
|December 20, 2024
概括
大多数医疗保健提供者讨论27-45岁成年人HPV疫苗接种,但不一致的指导方针解释可能会阻碍公平实施. 需要进一步支持共享决策.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 卫生政策 卫生政策
背景情况:
- 美国根据共享的临床决策为27-45岁未接种疫苗的成年人提供HPV疫苗接种.
- 提供者对本指南的看法尚不清楚.
研究的目的:
- 探索医疗保健提供者对美国27-45岁成年人HPV疫苗接种的看法.
- 为了确定这一年龄组实施HPV疫苗接种指南的挑战和需求.
主要方法:
- 与18名医疗保健提供者进行虚拟半结构面试.
- 对面试成绩单进行主题分析,以确定关键主题.
- 在定性数据分析中进行Interrater可靠性评估.
主要成果:
- 大多数提供者报告说,他们建议27-45岁的患者接种HPV疫苗.
- 提供者使用各种标准 (例如,关系状况,性史,先前感染) 进行讨论.
- 观察到指导方针解释中的不一致性,可能会影响实施.
结论:
- 虽然大多数提供者参与成人HPV疫苗接种讨论,但指导方针的模糊性带来了实施挑战.
- 缺乏具体指导可能导致疫苗接种和接种不公平.
- 需要增强的决策工具和教育材料来支持提供者.
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